Clark Fork Healthcare, LLC

NPI #1457092058 in Eagle, Idaho

Provider Information

NPI Number: 1457092058
Entity Type: Organization
Organization Name: Clark Fork Healthcare, LLC
Primary Specialty: Home Health
Enumeration Date: Apr 6, 2022
Last Updated: Apr 6, 2022

Practice Location

Address: 1675 E RIVERSIDE DR STE 200
City: Eagle
State: Idaho
ZIP Code: 83616-7473
Phone: (208) 401-1400

Authorized Official

Name: LEE JOHNSON
Title: TREASURER
Phone: (208) 401-1369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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